Attention Institutional Providers, TR 38600

February 21, 2014

On January 9, 2014, we reported an issue where institutional claims were denying inappropriately for “missing or invalid admission date.” MaineCare requires the date of admission on inpatient claims with the following bill types: 011X, 012X, 018X, 021X, 028X, 041X, 065X, 066X, 086X, and 089X. However, a recent system upgrade requires admission dates for additional bill types that MaineCare does not. These include bill types: 022X, 033X, 051X, 074X, 075X, 081X, 082X. Claims with these additional bill types were denied in error. The issue has been resolved and claims will no longer be denied. Claims that denied in error will be reprocessed. No provider action is needed.